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Urinary Tract Calculi IV: Nutrition Therapy and Prevention

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Assessment of Kidney Function in Mouse Models of Glomerular Disease
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Published on: June 30, 2018

Kidney stones and kidney function loss: a cohort study.

R Todd Alexander1, Brenda R Hemmelgarn, Natasha Wiebe

  • 17-129 Clinical Science Building, University of Alberta, 8440 112 Street, Edmonton, Alberta T6B 2G3, Canada.

BMJ (Clinical Research Ed.)
|September 1, 2012
PubMed
Summary

Kidney stones significantly increase the risk of developing end-stage renal disease (ESRD) and chronic kidney disease. While the absolute risk increase is small, even one stone episode elevates adverse renal outcomes.

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Area of Science:

  • Nephrology
  • Epidemiology
  • Public Health

Background:

  • Kidney stones are a common condition.
  • The long-term renal consequences of kidney stones are not fully understood.
  • Investigating the association between kidney stones and adverse renal outcomes is crucial for patient management and public health.

Purpose of the Study:

  • To determine if kidney stones increase the risk of end-stage renal disease (ESRD).
  • To assess the association between kidney stones and other adverse renal outcomes, including chronic kidney disease and doubling of serum creatinine.
  • To evaluate the impact of kidney stones on renal health in a large adult population.

Main Methods:

  • A registry cohort study was conducted using validated algorithms from claims and facility utilization data.
  • The study included 3,089,194 adult patients in Alberta, Canada, from 1997 to 2009, excluding those with baseline ESRD or pyelonephritis.
  • Outcomes assessed included incident ESRD, stage 3b-5 chronic kidney disease, and sustained doubling of serum creatinine, with a median follow-up of 11 years.

Main Results:

  • A total of 23,706 patients (0.8%) experienced at least one kidney stone episode.
  • Kidney stones were associated with a significantly increased risk of ESRD (aHR 2.16), new stage 3b-5 chronic kidney disease (aHR 1.74), and doubling of serum creatinine (aHR 1.94).
  • The excess risk appeared greater in women and younger individuals (<50 years), though significant in all strata. Absolute risk increases were small.

Conclusions:

  • Even a single kidney stone episode is linked to a significant increase in the likelihood of adverse renal outcomes, including ESRD.
  • The absolute increase in adverse renal outcomes associated with kidney stones is small.
  • These findings highlight the importance of monitoring renal health in patients with a history of kidney stones.